Advanced Search

Medicare Compliance & Reimbursement

Reader Question:

Know the Facts on New Patients and Incident-To

Published on Mon Dec 19, 2022

Question: A new patient came in and the nurse practitioner (NP) took the initial history and performed the check-up. The physician was in and out of the room, and always available if needed. Is this visit billable as incident to? Ohio Subscriber Answer: No — new patient encounters are not covered under incident-to guidelines. This is because the physician must initiate treatment [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Medicare Compliance & Reimbursement

View All